February 24, 2015 Public Hearing Transition Washington County out - - PowerPoint PPT Presentation

February 24, 2015 Public Hearing

1.

Transition Washington County out of direct clinical services (family planning/immunization/STD).

2.

Use $500,000/year for five years of County general fund to support local safety net and FQHC(s) to expand access to primary care and preventive screening services for unin insure red l low-in income Washington County residents.

3.

Share the Hillsboro clinic space with community partners to increase access to health services

4.

Reinvest remaining County GF within HHS/ Public Health.

 Everyone should have access to healthcare

regardless of their insurance status

• A comprehensive medical home is the most

effective model of care

• Access to preventive services

 Care must be:

• Affordable
• Accessible
• Culturally appropriate

 TB/Communicable Disease and STD

investigation and control (epidemiology)

 Outbreak investigation, management and

control

 Community Health Needs Assessment and

Health Improvement Planning

 Chronic Disease Prevention  Maternal and Child Health services  Environmental Health service  Assurance role – help people connect to

services

 Washington County clinic

and HHS staff

 Public Health Advisory

Council

 FQHCs: Virginia Garcia &

Neighborhood Health

 Southwest Community

Health Center

 Planned Parenthood  Health care systems  Oregon Latino Health

Coalition

 Western Farm Workers

Association

 Local city representatives  Washington County Latino

Leadership Network

 Consumers of our clinical

services

 CHIP work groups (access

to care and chronic disease prevention)

 Oregon Health Equity

Alliance

 DAVS Advisory Board  Local elected officials  Tuality Health  Project Access NOW

Theme me Number of f commen ments mentio ionin ing theme me Perce cent o

• f

commen ments men entioning t them eme Quote f e from m comme mments with ithin in theme Low income/low cost 23 35% “This will affect us because here they provide a lot of help to families with low income” Good treatment/ friendly clinic staff and providers 19 29% “We like the friendly and attentive way we are treated by those who work here” Women’s health (birth control, family planning, STDs, cancer screening, etc) 18 28% “I came to the clinic to seek help finding the appropriate methods of birth control in order to protect myself from STDs and the possibility of an accidental pregnancy” No health insurance 17 26% “There are a lot of people like me who do not qualify for medical insurance and can’t afford to pay a monthly cost for insurance” No where else to go/ services being eliminated entirely 13 20% “Where are we going to go if the Public Health Clinic closes? Who is going to accept the large amount of people who get care at the clinic?”

Support the healthcare System Improve and sustain public health

 $500,000 to safety net

providers/year for five years

 $293,000 (90%) Title X funds  Shared use of Hillsboro clinic

site

 Technical assistance and

collaboration

 HHS/public health

reinvestment

• Assessment & data

analysis

• Quality improvement
• Policy
• Communicable disease
• Prevention (MCH -

focused)

• Reproductive health

 No

• cos

cost or t or low low cos cost p t prim rimary h healt lth ca care e for

• r

3,50 500-4,00 000 0 uninsured

• Virginia Garcia
• Neighborhood Health Center

 Wome

• men’s h

healt lth exams ams a and f family amily planning (b (bir irth c con

• ntrol)
• l) serv

rvice ices f for 3,0

• r 3,000+

00+

• Planned Parenthood
• Neighborhood Health Center
• Southwest Community Health Center

• Prov

rovide p pre reventio ion s service ices to to 2,1 2,100 00 u unin insured

• Immuni

nizations ns

• School-based Health Centers
• Special event clinics (Kaiser, Tuality, Southwest

Community Health Center)

• Increase participation in Vaccine for Children Program

STD scree eening and nd tr trea eatm tment

• Neighborhood Health Center
• Planned Parenthood

Clinic Locations

 Quarterly contract monitoring

• Counts of uninsured patients and services provided

 Community Health Needs Assessment

• Population level indicators (e.g., teen pregnancy &

births, STD infections, HIV, immunization rates)

 Monitor access to care in Washington County

• Stakeholder and consumer focus groups/interviews
• Adults and children with insurance who report a usual

source of care and unable to access care related to cost

• Demographics of the uninsured
• Ratio of primary care providers to population

• Request proposals from stakeholders
• Contract negotiations with performance

metrics

• Communication with consumers and

public

• Long-term monitoring of access to

care/clinical prevention services